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1. 发明授权

US09498198B2 Surgical instruments for accessing and stabilizing a localized portion of a beating heart 有权
标题翻译：用于进入和稳定跳动心脏的局部部分的手术器械
公开(公告)号：US09498198B2
公开(公告)日：2016-11-22
申请号：US12768414
申请日：2010-04-27
申请人： Lawrence W. Hu , David J. Paul , Eugene Edward Reis , Harry Leonard Green, II , Joshua K. Wallin , Morejohn P. Dwight , Charles S. Taylor , Gary B. Weller , Richard M. Ferrari
发明人： Lawrence W. Hu , David J. Paul , Eugene Edward Reis , Harry Leonard Green, II , Joshua K. Wallin , Morejohn P. Dwight , Charles S. Taylor , Gary B. Weller , Richard M. Ferrari
IPC分类号： A61B17/02 , A61B17/04
CPC分类号： A61B17/0206 , A61B17/0483 , A61B90/50 , A61B2017/0243 , Y10T403/32024 , Y10T403/32032
摘要： Surgical devices for stabilizing the heart are disclosed which facilitate anastomosis under beating heart conditions. Various instruments or devices may be maneuvered and secured on a retractor device to provide stabilization of the heart. An instrument mount is provided which is preferably configured to accept a surgical instrument, such as a tissue stabilizer, and to allow the instrument to be easily maneuvered to a desired position and subsequently locked into position with a simple operation of a single locking actuator. Further disclosed are stabilizer devices each having at least one surface for contacting the heart and each being adapted to be mounted to the retractor while having the ability to be positioned in the desired location against the heart.
摘要翻译：公开了用于稳定心脏的手术装置，其用于在跳动的心脏状况下进行吻合。各种仪器或装置可以被操纵并固定在牵开装置上以提供心脏的稳定。提供了一种仪器座，其优选地被配置为接受诸如组织稳定器的手术器械，并且允许器械容易地操纵到期望位置，并随后通过单个锁定致动器的简单操作而被锁定到位。进一步公开的是稳定器装置，每个装置具有至少一个用于接触心脏的表面，并且每个表面适于安装到牵开器，同时具有相对于心脏定位在所需位置的能力。

2. 发明授权

US07497824B2 Surgical devices for imposing a negative pressure to stabilize cardiac tissue during surgery 失效
公开(公告)号：US07497824B2
公开(公告)日：2009-03-03
申请号：US10943445
申请日：2004-09-16
申请人： Charles S. Taylor
发明人： Charles S. Taylor
IPC分类号： A61F2/00 , A61F13/00 , A47J45/00 , A61B19/00
CPC分类号： A61B17/0218 , A61B17/00 , A61B90/40 , A61B2017/00243 , A61B2017/00703 , A61B2017/0243 , A61B2017/306 , A61B2017/3488
摘要： The invention is devices and techniques which use a negative (suction) pressure or vacuum, applied through a surgical instrument, to fix the position of a portion of the surface of a beating heart so that a surgical procedure can be more easily performed. The devices apply a negative pressure at several points on the outer surface of the heart such that a portion of the heart is fixed in place by the suction imposed through the surgical instrument. Because the instrument fixes the position of the tissue, and because the instruments remain at a constant distance from the particular portion of the heart where the surgery is being performed, the device may also serve as a support or platform so that other surgical instruments or devices can be advantageously used at the site. In certain preferred embodiments, the devices described herein have structures to facilitate the use of additional surgical instruments such that the placement of negative pressure device permit the surgeon to advantageously manipulate the other instruments during surgery. The negative pressure is preferably imposed through a plurality of ports which may be disposed in a substantially planar surface of the instrument which contacts the cardiac tissue.

3. 发明授权

US06701930B2 Surgical instruments and procedures for stabilizing the beating heart during coronary artery bypass graft surgery 失效
标题翻译：用于在冠状动脉旁路移植手术期间稳定跳动心脏的手术器械和程序
公开(公告)号：US06701930B2
公开(公告)日：2004-03-09
申请号：US10007550
申请日：2001-11-06
申请人： Federico J. Benetti , Charles S. Taylor , Ivan Sepetka , Amr Salahieh , Robert C. Glines , William N. Aldrich , Brent Regan , John J. Frantzen
发明人： Federico J. Benetti , Charles S. Taylor , Ivan Sepetka , Amr Salahieh , Robert C. Glines , William N. Aldrich , Brent Regan , John J. Frantzen
IPC分类号： A61B100
CPC分类号： A61B17/0218 , A61B17/00234 , A61B17/02 , A61B17/0206 , A61B17/0642 , A61B17/12 , A61B17/3421 , A61B17/3423 , A61B90/00 , A61B2017/00243 , A61B2017/00557 , A61B2017/00703 , A61B2017/00858 , A61B2017/0243 , A61B2017/1139 , A61B2017/2825 , A61B2017/2913 , A61B2017/2929 , A61B2017/306 , A61B2017/349
摘要： The invention is methods and devices which a surgeon may use to stabilize the beating heart during a surgical procedure on the heart. Pursuant to the invention, a stabilizing device is introduced through an opening in the chest and brought into contact with the beating heart. By contacting the heart with the device and by exerting a stabilizing force on the device, the motion of the heart caused by the contraction of the heart muscles is effectively eliminated such that the heart is stabilized and the site of the surgery moves only minimally if at all. Typically, in separate steps, the surgeon contacts the heart with the stabilizing device, assesses the degree of movement of the anastomosis site, and exerts a force on the stabilizing device such that the contraction of the beating heart causes only minimal excess motion at the surgery site. By fixing the position of the stabilizing device in a configuration where the motion of the beating heart is effectively eliminated, the surgeon is able to stabilize the beating heart for the duration of the procedure. The stabilizing device may be attached to a rigid support or may be attached to a semi-rigid support which is rendered motionless mechanically, chemically, or by human intervention. In certain preferred embodiments, the stabilizing device is affixed to a semi-rigid support which is caused to become rigid, by any of a variety of techniques, such that the position of the stabilizing device becomes fixed by the support, and the heart remains substantially motionless for the duration of the procedure.
摘要翻译：本发明是外科医生可以在心脏手术过程中稳定跳动心脏的方法和装置。根据本发明，稳定装置通过胸部的开口引入并与打浆心接触。通过将心脏与装置接触并且通过在装置上施加稳定力，由心脏肌肉收缩引起的心脏的运动被有效地消除，使得心脏稳定，并且手术部位仅在最小程度上移动，如果在所有。通常，在单独的步骤中，外科医生与稳定装置接触心脏，评估吻合部位的移动程度，并且在稳定装置上施加力，使得跳动心脏的收缩在手术时仅引起极小的过度运动现场。通过将稳定装置的位置固定在跳动心脏的运动被有效地消除的构造中，外科医生能够在手术期间稳定跳动的心脏。稳定装置可以附接到刚性支撑件，或者可以附接到半刚性支撑件，其通过机械，化学方式或通过人为干预使其不动。在某些优选实施例中，稳定装置通过各种技术中的任何一种固定到刚性刚性的半刚性支撑件上，使得稳定装置的位置由支撑件固定，心脏基本保持在程序期间不动。

4. 发明授权

US06508759B1 Stereoscopic percutaneous visualization system 失效
标题翻译：立体经皮可视化系统
公开(公告)号：US06508759B1
公开(公告)日：2003-01-21
申请号：US09429763
申请日：1999-10-28
申请人： Charles S. Taylor , Brian S. Donlon , Timothy R. Machold
发明人： Charles S. Taylor , Brian S. Donlon , Timothy R. Machold
IPC分类号： A61B100
CPC分类号： G02B23/2415 , A61B1/00149 , A61B1/00193 , A61B1/002 , A61B1/3132 , A61B1/317 , A61B17/3421 , A61B90/361 , A61B90/50 , A61B2017/00243 , A61B2017/3492 , A61B2090/3616 , G02B21/22
摘要： A surgical microscope comprising a microscope body, lens means attached to the microscope body for magnifying an object image, an eyepiece attached to the microscope body for viewing the magnified object image, and coupling means attached to the microscope body for retaining a supplementary lens in optical alignment with the lens means, the coupling means being configured for introducing the supplementary lens through a percutaneous penetration into a body cavity, wherein the eyepiece and the lens means are configured to facilitate stereoscopic viewing. In a variation of the surgical microscope, a plurality of binocular eyepieces are attached to the microscope body to allow multiple persons to contemporaneously view the magnified object image.
摘要翻译：一种手术显微镜，包括显微镜主体，附接到显微镜主体上的放大对象图像的透镜装置，附接到显微镜主体以观察放大对象图像的目镜，以及附接到显微镜主体的耦合装置，用于将辅助透镜保持在光学与透镜装置对准，联接装置被配置为将辅助透镜经由经皮穿透引入体腔中，其中目镜和透镜装置构造成便于立体观看。在手术显微镜的变型中，多个双目目镜被附接到显微镜主体，以允许多个人同时观看放大对象图像。

5. 发明授权

US06453906B1 Method for facilitating the detachment of an artery and the like 失效
标题翻译：促进动脉等的分离的方法
公开(公告)号：US06453906B1
公开(公告)日：2002-09-24
申请号：US09625397
申请日：2000-07-26
申请人： Charles S. Taylor , Hani Shennib , Michael V. Morejohn
发明人： Charles S. Taylor , Hani Shennib , Michael V. Morejohn
IPC分类号： A61B1900
CPC分类号： A61B17/00008 , A61B17/00234 , A61B17/02 , A61B17/320016 , A61B2017/00867 , A61B2017/00969 , A61B2017/2905 , A61B2017/2927 , A61B2018/00916 , A61B2018/1253 , A61B2018/1407 , A61B2018/1435
摘要： A surgical instrument is configured to aid in performing a procedure of detaching an internal mammary artery (IMA) and the like, from the connecting tissues and side branch vessels which surround the artery in its native location, wherein the detaching procedure is preliminary to the performing of a coronary artery bypass grafting procedure and wherein the IMA is detached via a minimally invasive thoracotomy. To this end, an elongated slender rod includes a handle at its proximal end and an artery engaging loop, arc, fork configuration, or hook at its distal working end. Embodiments may incorporate electrosurgical capability or electrical insulation. A surgeon thus has means for harvesting an intact and undamaged graft vessel from its native location through a minimally invasive incision with enhanced speed, visibility, and freedom of motion.
摘要翻译：手术器械被配置为有助于执行从其周围的动脉周围的连接组织和侧分支血管分离内部乳腺动脉（IMA）等的步骤，其中分离程序是执行的初步的冠状动脉旁路移植手术，其中通过微创开胸术分离IMA。为此，细长杆在其近端包括手柄，在其远端工作端处包括动脉接合环，弧形，叉形结构或钩。实施例可以包括电外科能力或电绝缘。因此，外科医生具有通过具有增强的速度，可见性和运动自由的微创切口从其原始位置收集完整且未损坏的移植血管的手段。

6. 发明授权

US06346077B1 Surgical instrument for stabilizing the beating heart during coronary artery bypass graft surgery 失效
标题翻译：用于在冠状动脉旁路移植手术期间稳定跳动心脏的手术器械
公开(公告)号：US06346077B1
公开(公告)日：2002-02-12
申请号：US08789751
申请日：1997-01-27
申请人： Charles S. Taylor , William N. Aldrich , Thomas L. Baughman , Federico J. Benetti , Brian J. Bennett , Michael J. Billig , Thomas J. Fogarty , John J. Frantzen , Richard S. Ginn , Robert C. Glines , Harry L. Green , Dwight P. Morejohn , Brent Regan , Eugene E. Reis , Amr Salahieh , Ivan Sepetka , Benjamin Sherman , Christian Skieller , Valavanur A. Subramanian , Gary B. Weller , William F. Witt
发明人： Charles S. Taylor , William N. Aldrich , Thomas L. Baughman , Federico J. Benetti , Brian J. Bennett , Michael J. Billig , Thomas J. Fogarty , John J. Frantzen , Richard S. Ginn , Robert C. Glines , Harry L. Green , Dwight P. Morejohn , Brent Regan , Eugene E. Reis , Amr Salahieh , Ivan Sepetka , Benjamin Sherman , Christian Skieller , Valavanur A. Subramanian , Gary B. Weller , William F. Witt
IPC分类号： A61B132
CPC分类号： A61B17/0218 , A61B17/00234 , A61B17/02 , A61B17/0206 , A61B17/0642 , A61B17/12 , A61B17/3421 , A61B17/3423 , A61B90/00 , A61B2017/00243 , A61B2017/00557 , A61B2017/00703 , A61B2017/00858 , A61B2017/0243 , A61B2017/1139 , A61B2017/2825 , A61B2017/2913 , A61B2017/2929 , A61B2017/306 , A61B2017/349
摘要： The invention is methods and devices which a surgeon may use to stabilize the beating heart during a surgical procedure on the heart. Pursuant to the invention, a stabilizing device is introduced through an opening in the chest and brought into contact with the beating heart. By contacting the heart with the device and by exerting a stabilizing force on the device, the motion of the heart caused by the contraction of the heart muscles is effectively eliminated such that the heart is stabilized and the site of the surgery moves only minimally if at all. Typically, in separate steps, the surgeon contacts the heart with the stabilizing means, assesses the degree of movement of the anastomosis site, and exerts a force on the stabilizing means such that the contraction of the beating heart causes orgy minimal excess motion at the surgery site. By fixing the position of the stabilizing means in a configuration where the motion of the beating heart is effectively eliminated, the surgeon is able to stabilize the beating heart for the duration of the procedure. The stabilizing means may be attached to a rigid support or may be attached to a semi-rigid support which is rendered motionless mechanically, chemically, or by human intervention. In certain preferred embodiments, the stabilizing means is affixed to a semi-rigid support which is caused to become rigid, by any of a variety of techniques, such that the position of the stabilizing means becomes fixed by the support, and the heart remains substantially motionless for the duration of the procedure.
摘要翻译：本发明是外科医生可以在心脏手术过程中稳定跳动心脏的方法和装置。根据本发明，稳定装置通过胸部的开口引入并与打浆心接触。通过将心脏与装置接触并且通过在装置上施加稳定力，由心脏肌肉收缩引起的心脏的运动被有效地消除，使得心脏稳定，并且手术部位仅在最小程度上移动，如果在所有。通常，在单独的步骤中，外科医生将心脏与稳定装置接触，评估吻合部位的移动程度，并对稳定装置施加力，使得跳动心脏的收缩导致手术时的最小过度运动现场。通过将稳定装置的位置固定在跳动心脏的运动被有效地消除的构造中，外科医生能够在手术期间稳定跳动的心脏。稳定装置可以附接到刚性支撑件，或者可以附接到半刚性支撑件，其通过机械，化学方式或通过人为干预使其不动。在某些优选实施例中，稳定装置通过各种技术中的任一种被固定到半刚性支撑件上，使其变得刚性，使得稳定装置的位置由支撑件固定，并且心脏基本保持在程序期间不动。

7. 发明授权

US06315717B1 Surgical instruments for stabilizing the beating heart during coronary artery bypass graft surgery 有权
标题翻译：用于在冠状动脉旁路移植手术期间稳定跳动心脏的手术器械
公开(公告)号：US06315717B1
公开(公告)日：2001-11-13
申请号：US09550447
申请日：2000-04-17
申请人： Federico J. Benetti , Charles S. Taylor , Ivan Sepetka , Amr Salahieh , Robert C. Glines , William N. Aldrich , Brent Regan , John J. Frantzen
发明人： Federico J. Benetti , Charles S. Taylor , Ivan Sepetka , Amr Salahieh , Robert C. Glines , William N. Aldrich , Brent Regan , John J. Frantzen
IPC分类号： A61B132
CPC分类号： A61B17/0218 , A61B17/00234 , A61B17/02 , A61B17/0206 , A61B17/0642 , A61B17/12 , A61B17/3421 , A61B17/3423 , A61B90/00 , A61B2017/00243 , A61B2017/00557 , A61B2017/00703 , A61B2017/00858 , A61B2017/0243 , A61B2017/1139 , A61B2017/2825 , A61B2017/2913 , A61B2017/2929 , A61B2017/306 , A61B2017/349
摘要： Methods and devices used to stabilize a beating heart during a surgical procedure on the heart are disclosed. The stabilizing device is introduced through an opening through the chest and brought into contact with the beating heart, and by exerting a stabilizing force on the device, the motion of the heart caused by the contractions of the heart muscles is effectively eliminated. Accordingly, the heart is stabilized and movement of the site of the surgery is minimized. Typically, in separate steps, a surgeon contacts the heart with the stabilizing device, assesses the degree of movement of the anastomosis site, and exerts a force with a stabilizing device such that the contractions of the beating heart causes only minimal excess motion at the surgery site. The stabilizing device may be attached to a rigid support or may be attached to a semi-rigid support which is rendered motionless mechanically, chemically or by human intervention.
摘要翻译：公开了用于在外科手术中心脏稳定跳动心脏的方法和装置。稳定装置通过穿过胸部的开口被引入与打心的心脏接触，并且通过在装置上施加稳定力，有效地消除了由心脏肌肉收缩引起的心脏运动。因此，心脏稳定并且手术部位的运动被最小化。通常，在单独的步骤中，外科医生将心脏与稳定装置接触，评估吻合部位的移动程度，并用稳定装置施加力，使得跳动心脏的收缩在手术时仅引起极小的过度运动现场。稳定装置可以附接到刚性支撑件或者可以附接到半刚性支撑件，其通过机械地，化学地或通过人为干预使其静止。

8. 发明授权

US6110170A Surgical instrument for facilitating the detachment of an artery and the like 失效
标题翻译：用于促进动脉等的分离的手术器械
公开(公告)号：US6110170A
公开(公告)日：2000-08-29
申请号：US106867
申请日：1998-06-29
申请人： Charles S. Taylor , Hani Shennib , Michael V. Morejohn
发明人： Charles S. Taylor , Hani Shennib , Michael V. Morejohn
IPC分类号： A61B17/00 , A61B17/02 , A61B17/28 , A61B17/32 , A61B18/14 , A61B18/18
CPC分类号： A61B17/00008 , A61B17/02 , A61B17/00234 , A61B17/320016 , A61B2017/00867 , A61B2017/00969 , A61B2017/2905 , A61B2017/2927 , A61B2018/00916 , A61B2018/1253 , A61B2018/1407 , A61B2018/1435
摘要： A surgical instrument is configured to aid in performing a procedure of detaching an internal mammary artery (IMA) and the like, from the connecting tissues and side branch vessels which surround the artery in its native location, wherein the detaching procedure is preliminary to the performing of a coronary artery bypass grafting procedure and wherein the IMA is detached via a minimally invasive thoracotomy. To this end, an elongated slender rod includes a handle at its proximal end and an artery engaging loop, arc, fork configuration, or hook at its distal working end. Embodiments may incorporate electrosurgical capability or electrical insulation. A surgeon thus has means for harvesting an intact and undamaged graft vessel from its native location through a minimally invasive incision with enhanced speed, visibility, and freedom of motion.
摘要翻译：外科器械被配置为有助于执行从其周围的动脉周围的连接组织和侧分支血管分离内部乳腺动脉（IMA）等的步骤，其中分离程序是执行的初步的冠状动脉旁路移植手术，其中通过微创开胸术分离IMA。为此，细长杆在其近端包括手柄，在其远端工作端处包括动脉接合环，弧形，叉形结构或钩。实施例可以包括电外科能力或电绝缘。因此，外科医生具有通过具有增强的速度，可见性和运动自由的微创切口从其原始位置收集完整且未损坏的移植血管的手段。

9. 发明授权

US6050266A Procedures for stabilizing the beating heart during coronary artery bypass graft surgery 失效
标题翻译：在冠状动脉旁路移植手术期间稳定跳动心脏的程序
公开(公告)号：US6050266A
公开(公告)日：2000-04-18
申请号：US99855
申请日：1998-06-18
申请人： Federico J. Benetti , Charles S. Taylor
发明人： Federico J. Benetti , Charles S. Taylor
IPC分类号： A61B17/00 , A61B17/02 , A61B17/064 , A61B17/11 , A61B17/12 , A61B17/28 , A61B17/30 , A61B17/34 , A61B19/00
CPC分类号： A61B17/0218 , A61B17/00234 , A61B17/0206 , A61B17/3423 , A61B90/00 , A61B17/02 , A61B17/0642 , A61B17/12 , A61B17/3421 , A61B2017/00243 , A61B2017/00557 , A61B2017/00703 , A61B2017/00858 , A61B2017/0243 , A61B2017/1139 , A61B2017/2825 , A61B2017/2913 , A61B2017/2929 , A61B2017/306 , A61B2017/349
摘要： The invention is methods and devices which a surgeon may use to stabilize the beating heart during a surgical procedure on the heart. Pursuant to the invention, a stabilizing device is introduced through an opening in the chest and brought into contact with the beating heart. By contacting the heart with the device and by exerting a stabilizing force on the device, the motion of the heart caused by the contraction of the heart muscles is effectively eliminated such that the heart is stabilized and the site of the surgery moves only minimally if at all. Typically, in separate steps, the surgeon contacts the heart with the stabilizing means, assesses the degree of movement of the anastomosis site, and exerts a force on the stabilizing means such that the contraction of the beating heart causes only minimal excess motion at the surgery site. By fixing the position of the stabilizing means in a configuration where the motion of the beating heart is effectively eliminated, the surgeon is able to stabilize the beating heart for the duration of the procedure. The stabilizing means may be attached to a rigid support or may be attached to a semi-rigid support which is rendered motionless mechanically, chemically, or by human intervention. In certain preferred embodiments, the stabilizing means is affixed to a semi-rigid support which is caused to become rigid, by any of a variety of techniques, such that the position of the stabilizing means becomes fixed by the support, and the heart remains substantially motionless for the duration of the procedure.
摘要翻译：本发明是外科医生可以在心脏手术过程中稳定跳动心脏的方法和装置。根据本发明，稳定装置通过胸部的开口引入并与打浆心接触。通过将心脏与装置接触并且通过在装置上施加稳定力，由心脏肌肉收缩引起的心脏的运动被有效地消除，使得心脏稳定，并且手术部位仅在最小程度上移动，如果在所有。通常，在单独的步骤中，外科医生将心脏与稳定装置接触，评估吻合部位的移动程度，并对稳定装置施加力，使得跳动心脏的收缩在手术时仅引起极小的过度运动现场。通过将稳定装置的位置固定在跳动心脏的运动被有效地消除的构造中，外科医生能够在手术期间稳定跳动的心脏。稳定装置可以附接到刚性支撑件，或者可以附接到半刚性支撑件，其通过机械，化学方式或通过人为干预使其不动。在某些优选实施例中，稳定装置通过各种技术中的任一种被固定到半刚性支撑件上，使其变得刚性，使得稳定装置的位置由支撑件固定，并且心脏基本保持在程序期间不动。

10. 发明授权

US5944736A Access platform for internal mammary dissection 失效
公开(公告)号：US5944736A
公开(公告)日：1999-08-31
申请号：US903516
申请日：1997-07-30
申请人： Charles S. Taylor , William N. Aldrich , Federico J. Benetti , Richard S. Ginn , Dwight P. Morejohn , Brent Regan , Eugene E. Reis , Ivan Sepetka , William F. Witt
发明人： Charles S. Taylor , William N. Aldrich , Federico J. Benetti , Richard S. Ginn , Dwight P. Morejohn , Brent Regan , Eugene E. Reis , Ivan Sepetka , William F. Witt
IPC分类号： A61B17/02 , A61B17/34 , A61B19/00
CPC分类号： A61B17/3423 , A61B17/0206 , A61B90/50 , A61B17/025 , A61B17/3476 , A61B2017/349
摘要： An access platform having a first and a second blade interconnected to a spreader member that laterally drives the blades apart or together and a sternal pad interconnected to a blade. The superior blade is pivotally coupled to the spreader member such that it naturally rises as the blades are separated. Alternatively, a vertical displacement member is operably interconnected to a blade and the spreader member and is used to vertically displace the interconnected superior blade and, thus, increase a surgeon's working space and visual access for the dissection of an internal mammary artery. A tissue retractor is interconnected to the blades to draw the soft tissue around an incision away from the surgeon's working area.

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